Overview
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrows health today, we want to hear from you.
Responsibilities
- The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug, including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals; and educating the office on payer landscape and services available through both remote interaction and on-site training. This position is client-facing and customer-facing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer-specific preferences. The FRM works independently in a fast-paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRM will frequently interact via telephone with providers and internal staff to arrange site visits, manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. Position will require travel, project management and/or account coordination based on client expectation.
- Provide on-site and on-demand education for office staff regarding Reimbursement challenges and support services, including Lunch and Learns or Dinner presentations; on-site/virtual interactions will average 15 per week. Activities are recorded in FRM CRM daily with reporting to manager weekly.
- Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. Monthly activity reporting captures educational topics at FRM level reported to client based on client expectation; data is trended and reported quarterly to client.
- Provide Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, and information related to co-pay and patient assistance programs. Collaborate with case manager on average 4/month and ad hoc as needed for escalations. Interactions are tracked in FRM CRM and hub system.
- Set up appointments and complete outbound calls to targeted offices. Assist in completing backlog casework. Interface with physicians and manufacturer representatives to obtain and provide patient and provider-specific information. All FRM interactions/activities are tracked in FRM CRM which are reportable to management and client.
- Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance will be monitored via FRM CRM dashboard daily. Trending results identified through quarterly reporting. Clients have the option to survey customers on program performance.
- Research and compile provider/manufacturer representative-specific information for reimbursement database (including account profiles). FRM will create a facility database on each new provider in FRM CRM. All interactions/activities are built utilizing this database.
- Must reside in territory and be able to travel up to 80% (4 days a week) via automobile or plane. Must have a valid driver's license with a clean driving record/MVR.
Minimum Job Qualifications
- 4-year degree in related field or equivalent experience
- 4+ years of healthcare related reimbursement experience
Business Experience
- Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
- Experience supporting oncology products preferred
- Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physicians office or clinics.
- Must have Medicare and commercial insurance coverage experience.
- Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis.
- Proven presentation skills and experience
- Proven ability to effectively handle multiple priorities and excellent organizational skills
- Strong computer literacy to include PowerPoint and Web Meeting experience
Specialized Knowledge/Skills
- Previous field experience, a plus
- Previous experience with specialty pharmacy a plus
- Account management experience, a plus
- Excellent interpersonal skills
- Excellent written and oral communication skills
- Problem solving and decision-making skills
Travel Requirements
Must reside in territory. Must be able to travel up to 80% (4 days a week) via automobile or plane. Must have a valid driver's license with a clean driving record/MVR.
Physical Requirements
Possible long periods of sitting and/or keyboard work. General office demands.
Benefits and Compensation
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.
Base Pay Range: $80,300 - $133,800
Equal Opportunity
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKessons full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
Join us at McKesson!
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